Provider Demographics
NPI:1417114976
Name:HARRINGTON, JUNNETTE ANN
Entity Type:Individual
Prefix:MS
First Name:JUNNETTE
Middle Name:ANN
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-4912
Mailing Address - Country:US
Mailing Address - Phone:718-636-4316
Mailing Address - Fax:718-636-4372
Practice Address - Street 1:572 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-4912
Practice Address - Country:US
Practice Address - Phone:718-636-4316
Practice Address - Fax:718-636-4372
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008820156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician